<%@ taglib uri="http://java.sun.com/jstl/core" prefix="c"%>
<script type="text/javascript">
	$(function() {
		setDatePicker();
	});	
</script>

<form id="formAgrega" action="Servlet" method="post">
	<input type="hidden" id="accion" name="accion" value="agregarEstadistica">
	<input type="submit" class="submit" style="display: none;">
	
	<table>	
		<tr>
			<td>Per&iacute;odo</td>
			<td>:</td>
			<td>
				<input required type="text" id="periodo_ano" name="periodo_ano" class="inputEst" placeholder="A&ntilde;o">
				<input required type="text" id="periodo_mes" name="periodo_mes" class="inputEst" placeholder="Mes">
			</td>
		</tr>
		<tr>
			<td>numAT</td>
			<td>:</td>
			<td><input required type="text" id="numAT" name="numAT" class="inputEst" onkeypress="return valida_numeros(event)" onkeypress="return valida_numeros(event)"onkeypress="return valida_numeros(event)"></td>
		</tr>
		
		<tr>
			<td>numDP</td>
			<td>:</td>
			<td><input required type="text" id="numDP" name="numDP" class="inputEst" onkeypress="return valida_numeros(event)"></td>
		</tr>
		
		<tr>
			<td>tasaTB</td>
			<td>:</td>
			<td><input required type="text" id="tasaTB" name="tasaTB" class="inputEst" onkeypress="return valida_numeros(event)"></td>
		</tr>
		
		<tr>
			<td>numATEnfProfesional</td>
			<td>:</td>
			<td><input required type="text" id="numATEnfProfesional" name="numATEnfProfesional" class="inputEst" onkeypress="return valida_numeros(event)"></td>
		</tr>
		
		<tr>
			<td>numDPEnfProfesional</td>
			<td>:</td>
			<td><input required type="text" id="numDPEnfProfesional" name="numDPEnfProfesional" class="inputEst" onkeypress="return valida_numeros(event)"></td>
		</tr>
		
		<tr>
			<td>tasaEP</td>
			<td>:</td>
			<td><input required type="text" id="tasaEP" name="tasaEP" class="inputEst" onkeypress="return valida_numeros(event)"></td>
		</tr>
		
		<tr>
			<td>numATTrayecto</td>
			<td>:</td>
			<td><input required type="text" id="numATTrayecto" name="numATTrayecto" class="inputEst" onkeypress="return valida_numeros(event)"></td>
		</tr>
		
		<tr>
			<td>numDPTrayecto</td>
			<td>:</td>
			<td><input required type="text" id="numDPTrayecto" name="numDPTrayecto" class="inputEst" onkeypress="return valida_numeros(event)"></td>
		</tr>
		
		<tr>
			<td>tasaTY</td>
			<td>:</td>
			<td><input required type="text" id="tasaTY" name="tasaTY" class="inputEst" onkeypress="return valida_numeros(event)"></td>
		</tr>
		
		<tr>
			<td>numFatales</td>
			<td>:</td>
			<td><input required type="text" id="numFatales" name="numFatales" class="inputEst" onkeypress="return valida_numeros(event)"></td>
		</tr>
	</table>
</form>